Provider Demographics
NPI:1134987613
Name:YANA MEDICAL LLC
Entity type:Organization
Organization Name:YANA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-987-6292
Mailing Address - Street 1:1420 WISTAR DR
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2313
Mailing Address - Country:US
Mailing Address - Phone:215-987-6292
Mailing Address - Fax:
Practice Address - Street 1:1420 WISTAR DR
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2313
Practice Address - Country:US
Practice Address - Phone:215-987-6292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
No333300000XSuppliersEmergency Response System Companies